Organization
ANESTHESIA SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MACK (AUTHORIZED OFFICIAL)
(302) 356-3081
Entity
Organization
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1607
(302) 356-3081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00715
DE
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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